The Laws That Govern Your Plan, Explained

Here's the part nobody puts in the proposal: you're the plan sponsor. The filings, the notices, the fiduciary duties. They're yours, not your broker's. This page covers what each law demands, when it's due, and what the 2026 numbers are. Verified, with sources.

The Framework

Five laws do most of the governing.

ERISA: the foundation

The 1974 law that makes employer benefit plans federal territory. It demands plan documents and an SPD, annual Form 5500 filings for larger plans, fair claims procedures, and fiduciary conduct: act solely in participants' interest, with expert prudence, paying only reasonable costs. For self-funded plans, ERISA preemption pushes most state insurance mandates aside. And no, there's no small-company exemption from the core duties.

The ACA: offers, affordability, and paperwork

For employers, the ACA means the employer mandate and its reporting trail. At 50+ full-time equivalents you're an ALE: offer minimum essential coverage to 95% of full-time employees, make it affordable (9.96% in 2026) and minimum value, then prove it all on Forms 1094-C and 1095-C. The ACA also brings the SBC, the PCORI fee, W-2 cost reporting, and the out-of-pocket caps in the numbers table below. IRS Letter 226-J enforcement runs on your own filings, sometimes years later.

COBRA: the exit coverage

At 20+ employees, departing workers and their families can continue coverage: 18 months for terminations and hour reductions, up to 36 for events like divorce or death, at up to 102% of full cost. The legal risk isn't the coverage. It's the notices: the general notice, the election notice, and their deadlines. Defective-notice lawsuits are a plaintiff cottage industry. Outsource the administration, then audit it anyway. The liability stays yours.

HIPAA: privacy plus portability

Two jobs. First, special enrollment rights: 30-day windows after life events, 60 days for Medicaid and CHIP changes. Second, privacy and security for plan health data: business associate agreements, safeguards, breach notification. The riskiest PHI in most companies isn't in a system. It's in HR's inbox. Decide what the plan touches and build the wall there.

The CAA: the transparency era

The Consolidated Appropriations Act of 2021 rewired sponsor accountability. It banned gag clauses and makes you attest to that annually. It created RxDC drug reporting. It forces broker compensation disclosure at $1,000+. It requires a written mental health parity NQTL analysis the DOL actually requests. And it built the No Surprises Act. The through-line: the government now assumes you can see your data and police your vendors. Courts grade you on that assumption.

Stop tracking this by hand

72 requirements. One calendar. Filtered to your plan.

The Compliance Calendar personalizes all 72 federal requirements to your group size, funding type, and plan year, then emails you status reports before deadlines hit. Built from the same research as this page.

Build my compliance calendar →

The Year at a Glance

Deadlines for a calendar-year plan.

Dates below assume a January 1 plan year. Non-calendar plans shift the plan-year-based items. Every row links to the full requirement: citation, penalty, and who's responsible.

Jan 31
W-2 reporting of health coverage cost
Box 12, code DD. Required if you filed 250+ W-2s the prior year.
Mar 1
Medicare Part D disclosure to CMS
Online filing within 60 days of plan year start. Calendar-year plans: by March 1.
Mar 2
Furnish Forms 1095-C to employees
Or post the alternative notice on your site by this date and keep it up through Oct 15, then furnish within 30 days of any request.
Mar 31
E-file Forms 1094-C / 1095-C with the IRS
Electronic filing is mandatory for nearly all employers now.
Jun 1
RxDC prescription drug report to CMS
Covers the prior calendar year. Your PBM and TPA usually submit, but the obligation is yours. Confirm in writing.
Jul 31
Form 5500 (or file Form 5558 to extend)
Welfare plans with 100+ participants. Extension moves it to Oct 15.
Jul 31
PCORI fee via Form 720
$3.84 per covered life this cycle. Self-funded and level-funded plans pay directly; insurers pay for fully-insured plans.
Sep 30
Summary Annual Report (SAR)
Nine months after plan year end, or Dec 15 if your 5500 was extended.
Oct 14
Medicare Part D creditable coverage notice
To all Medicare-eligible individuals before the Oct 15 annual enrollment window opens.
Dec 31
Gag clause prohibition attestation
Annual attestation to CMS that your TPA and PBM contracts don’t block your access to cost and claims data.
At enrollment
The annual notice bundle
SBC, CHIP notice, WHCRA, special enrollment rights, Medicare Part D, and more. Most employers batch these with open enrollment materials.
Ongoing
Event-driven notices
COBRA election (after qualifying events), SMM (after plan changes), HIPAA special enrollment, QMCSO responses. Calendar software won’t save you here. Process will.

This is the headline set, not the whole list. The Compliance Calendar tracks all 72 federal requirements and filters them to what applies to your plan.

Verified Figures

The 2026 numbers, with receipts.

Each figure links to its source. If a vendor quotes you different numbers, one of you is reading an old PDF.

$4,400 / $8,750

HSA contribution limit

Self-only / family, for 2026. Age 55+ can add a $1,000 catch-up contribution.

IRS Rev. Proc. 2025-19

$1,700 / $3,400

HDHP minimum deductible

Self-only / family. A plan below these deductibles is not HSA-qualified in 2026.

IRS Rev. Proc. 2025-19

$8,500 / $17,000

HDHP out-of-pocket maximum

Self-only / family. The IRS cap for HSA-qualified plans, lower than the general ACA cap.

IRS Rev. Proc. 2025-19

$10,600 / $21,200

ACA out-of-pocket maximum

Self-only / family, non-grandfathered plans. HHS revised this upward mid-2025. The originally announced $10,150 / $20,300 no longer applies.

HHS 2026 cost-sharing guidance

$3,400

Health FSA limit

Employee salary-reduction cap for 2026 plan years. Carryover max is $680.

IRS Rev. Proc. 2025-32

9.96%

ACA affordability threshold

Employee-only contribution for your cheapest minimum-value plan can't exceed 9.96% of income in 2026. FPL safe harbor: $129.89/month for calendar-year plans.

IRS Rev. Proc. 2025-25

$3,340

4980H(a) penalty

Per full-time employee (minus the first 30), per year, if you don't offer coverage to 95% of full-time staff and one employee gets subsidized Marketplace coverage.

IRS, 2026 indexed amounts

$5,010

4980H(b) penalty

Per year, for each full-time employee whose coverage was unaffordable or not minimum value and who got a Marketplace subsidy.

IRS, 2026 indexed amounts

$3.84

PCORI fee

Per covered life, plan years ending Oct 2025 through Sep 2026. Self-funded employers file Form 720 by July 31.

IRS Notice 2025-61

$9,325 / $26,993

Average annual premium

Single / family employer coverage in 2025. Workers paid $1,440 and $6,850 of that. Family premiums rose 6% in one year.

KFF 2025 Employer Health Benefits Survey

~80%

Big-three PBM market share

CVS Caremark, Express Scripts, and Optum Rx processed nearly 80% of the 6.6 billion U.S. prescriptions in 2023. The top six processed over 90%.

FTC Interim Staff Report (2024)

$150 / $300

DPC + HSA monthly fee cap

New for 2026: a direct primary care membership up to $150/month (individual) or $300 (more than one person) no longer blocks HSA eligibility, and the fee is a qualified medical expense.

One Big Beautiful Bill Act; IRS guidance

Quick Answers

The questions everyone asks.

Who is legally responsible for health plan compliance, the employer or the broker?

The employer. Under ERISA, the plan sponsor and plan administrator (almost always the employer) carry the legal duties: filings, notices, fiduciary conduct. Brokers, TPAs, and carriers help execute, but penalties and DOL letters go to you. No service agreement changes that.

What are the major compliance deadlines for a calendar-year health plan?

The big recurring ones: 1095-C furnishing by March 2 (or the posted-notice alternative), IRS e-filing by March 31, RxDC reporting by June 1, Form 5500 and the PCORI fee by July 31, the SAR by September 30, Medicare Part D notices before October 15, and the gag clause attestation by December 31. Notice bundles ride along with open enrollment.

Does ERISA apply to small employers?

Yes. ERISA covers employer health plans of every size; there is no small-employer exemption from the documentation and fiduciary rules. The Form 5500 filing has an exemption for fully-insured or unfunded plans under 100 participants, but the SPD requirement and fiduciary duties apply to everyone.

What is the gag clause attestation?

A CAA requirement. Plans must attest to CMS by December 31 each year that their contracts contain no clauses blocking access to provider cost or quality data, or to their own claims data. If your TPA refuses to hand over claims data, your attestation and their contract are in direct conflict. Useful tension. Use it.

What is RxDC reporting?

The CAA’s annual prescription drug data collection, due to CMS by June 1 for the prior calendar year. PBMs and TPAs typically file most sections on your behalf, but the legal obligation belongs to the plan. Get written confirmation of filing every year.

What happens if you miss a Form 5500 filing?

DOL penalties accrue per day with no statutory cap, and they find missing filings easily. The Delinquent Filer Voluntary Compliance Program (DFVCP) caps the damage at a fixed amount if you self-correct before the DOL contacts you. If you discover a missed filing, move first.